Positive Affirmations and Preoperative Anxiety

This study is a prospective, quasi-experimental design using a convenience sample. This study will include patients who are having total knee or total hip replacement surgery. Participants will be invited to complete an anxiety scale at the conclusion of the total joint replacement (TJR) education class, listen to a guided imagery and positive affirmations recording once/day for three days prior to surgery, beginning on the third day before surgery and continuing to the day before their scheduled surgical procedure, listen to positive affirmations the morning of surgery in the preop area, and then complete an anxiety scale before entering the operating room.

Inclusion Criteria: * Scheduled for total knee replacement or total hip replacement at the study facility * 18 years of age or older * Speak and read English * Have access to a smartphone, tablet, or computer Exclusion Criteria: * \< 18 years of age * Does not speak and read English * Does not have access to a smartphone, tablet, or computer